Williams, Scott Shields
Williams, Scott Shields is an individual health care provider with primary practice located at 1520 S Dobson Rd Suite 304, Mesa AZ 85202. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Nephrology, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Williams, Scott Shields can be contacted via phone (480) 899-0767.Contact Information
Primary practice address
1520 S Dobson Rd Suite 304
Mesa AZ 85202
Phone: (480) 899-0767
Fax: (480) 899-1145
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | M0971 | Texas |
| Allopathic & Osteopathic Physicians / Pediatric Nephrology | 2080P0210X | MD.203262 | Louisiana |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 52243 | Arizona |
Profile Details
| NPI number | 1407816341 |
|---|---|
| LBN Legal business name | Williams, Scott Shields |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 24th, 2006 |
| Last updated | Jun 26th, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407816341 | NPPES |
| Texas | MEDICAID | 173607601 | |
| Texas | MEDICAID | 1755095 | |
| Texas | MEDICAID | 02822278 | |
| Texas | MEDICAID | 148504 |
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